| Doctor Name: | MS. KELLY SCHAEFFER |
| NPI Number: | 1538350160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 334910 |
| Business Practice Address: | 8243 Turnstone Dr Manlius, NY - 131042138 |
| Business Phone Number: | 3156826833 |
| Business Fax Number: | 3156826833 |
| Mailing Address: | 8243 Turnstone Dr, MANLIUS |
| State: | NY |
| Postal Code: | 131042138 |
| Phone Number: | 3156826833 |
| Fax Number: | 3156826833 |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 08/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 334910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |